FORM 1023-EZ for PRESERVE INDEPENDENCE
| Field | Data |
|---|---|
| EIN | 83-0767876 |
| Case Number | EO-2021232-000089 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PRESERVE INDEPENDENCE |
| Organization’s Mailing Address | 49008 MORNING GLORY DR |
| City | MACOMB |
| State | MI |
| ZIP | 48044 |
| Accounting period End | 12 |
| Primary contact name | NICOLE JONES |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JEROME JONES
PRESIDENT
49008 MORNING GLORY DR
MACOMB MI 48044
Officer/Director/Trustee Two
WILLIAM TULLY
TREASURER
25191 HOOVER ST
WARREN MI 48089
Officer/Director/Trustee Three
LADONNA JACKSON
SECRETARY
25191 HOOVER ST
WARREN MI 48089
Officer/Director/Trustee Four
NICOLE JONES
DIRECTOR
49008
MORNING GLORY DR MI 48044
Officer/Director/Trustee Five
LATASHA PURRY
DIRECTOR
15191 HOOVER ST
WARREN MI 48044
| Organization’s website | |
|---|---|
| Organization’s email | PRESERVE.IND@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/30/2018 |
| Organization Incorporation State | MI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P75 - Senior Continuing Care Communities |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: No Literary: No Public Safety: No Amateur Sports: No Cruelty Prevention: No |
| Qualify For Exemption | No |
| Legislation influence | No |
| Compensation of Officer director trustee | Yes |
| Donation of funds | No |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | Yes |
| Gaming Activity | No |
| Disaster relief assistance | No |
| One Third Support Public | No |
| One Third Support Gifts | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | No |
| Signature Name | NICOLE JONES |
| Signature Title | DIRECTOR |
| Signature Date | 8/19/2021 |
| EIN | 83-0767876 |
| Case Number | EO-2018190-000219 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PRESERVE INDEPENDENCE |
| Organization’s Mailing Address | 24051 GRANGE |
| City | CLINTON TOWNSHIP |
| State | MI |
| ZIP | 48036 |
| Accounting period End | 12 |
| Primary contact name | JEROME JONES |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JEROME JONES
PRESIDENT
24051 GRANGE STREET
CLINTON TOWNSHIP MI 48036
Officer/Director/Trustee Two
NICOLE JONES
VP/SECRETARY
24051 GRANGE STREET
CLINTON TOWNSHIP MI 48036
Officer/Director/Trustee Three
LAVAR GREEN-JACKSON
TREASURER
24051 GRANGE STREET
CLINTON TOWNSHIP MI 48036
Officer/Director/Trustee Four
LADONNA JACKSON
MEMBER
34269 GARFIELD CIRCLE
FRASER MI 48026
Officer/Director/Trustee Five
TONY JOHNSON
MEMBER
24051 GRANGE STREET
CLINTON TOWNSHIP MI 48036
| Organization’s website | |
|---|---|
| Organization’s email | CATHERINESANGELS27@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/30/18 |
| Organization Incorporation State | MI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F33 - Group Home, Residential Treatment Facility - Mental Health Related |
| Organization’s purpose | Charitable: Yes Religious: No Educational: No Scientific: No Literary: No Public Safety: No Amateur Sports: No Cruelty Prevention: No |
| Qualify For Exemption | No |
| Legislation influence | No |
| Compensation of Officer director trustee | No |
| Donation of funds | No |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | No |
| Gaming Activity | No |
| Disaster relief assistance | No |
| One Third Support Public | No |
| One Third Support Gifts | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | JEROME JONES |
| Signature Title | PRESIDENT |
| Signature Date | 7/6/18 |
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